L&D_RN_OH

L&D_RN_OH

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All Content by L&D_RN_OH

  1. Why do OB/GYNs not believe pregnant pts??

    I obviously can't speak for eveyone, but I know at our facility, most pg pts come through L&D, unless they have a non OB complaint. And we have many pts with hyperemesis admitted to the floor for...
  2. Does anyone NOT like working in OB?

    I agree with Dayray. I think pretty much everyone in OB is there because they want to be. I know I had no intentions of working anywhere but L&D, so this is the dream for me. Yes, the hours, and...
  3. Loss

    Last I heard, baby is still in NICU, having seizures, and is on Phenobarb. I was on call this weekend, and talked with one of our docs who has spoken with the coroner. They said on gross exam it...
  4. Cytotec

    Generally, when I have a cytotec induction, things go pretty smoothly. Last night, however, was a different story. Coming on at 7 pm, I learned in report that my pt was due for her third dose. The day...
  5. $1300 nursery bill?!?!

    Think that's bad. I delivered in a birth center. Baby never left my bed, let alone my room. But there was still a standard nsy charge. Everything that was done for babe that would have been done in...
  6. Hello Ohio!

    Welcome! :) Not new, but have to come out of lurk mode occasionally. I am north of Cincinnati. Where are you working down
  7. First license renewal?

    man, I can't spell after working 12 hours. that would be Jan 03, and two darn licenese
  8. feeling overwhelmed: Cardiac RN to now Postpartum

    LINUS, continue to do your med/surg ax as you've always done them if that makes you feel more comfortable. Just add a couple extra, like perineal ax- REEDA : redness, edema, ecchymosis, drainage,...
  9. Slow February?

    In Nov and Dec we were wondering where all the pts were. We only had about 100 deliveries those months. Apparently, they are all due late Jan/early Feb. We had a bad couple weeks, but they are...
  10. Clinical Pathways....???

    We use pathways too. We use intrapartum pathways in L&D, vag delivery or csection delivery pathways in PP, and newborn or preemie pathways in NSY. For fetal loss, PIH, GD, etc, we follow the care...
  11. Questions about L&D

    I think you would get the most experience in a bigger facility on days. Of course, most new hires end up on nights, but orienting on days, would give you the opportunity to learn with scheduled cases,...
  12. covering an npo pt

    I would cover it. You can't count on them being NPO to decrease the blood sugar, and the stress of surgery can increase BS. What type of IV fluid are you
  13. First license renewal?

    Correct. I was originally licensed in Han 03. Our annual renewal was Aug 03. So no CEU's for that year, but too darn license fees.
  14. Is this common practice?

    Our anesthesists ask everyone to leave but one. The hosp my niece delivered in, asked everyone to
  15. HELLP syndrome and management

    We would have given platelets before delivery. I'm assuming it was a
  16. Call scheduling

    Okay, I know this has been covered before, but we need solutions. The callschedule has been causing much discord between the shifts, and morale is pretty low at this point. I work nights, 12 hour...
  17. Forced Csection??

    The Citizens Voice Woman hits hospitals' stance that she agree to C-section By Lisa Napersky , Citizens' Voice Staff Writer 01/17/2004 A Plymouth woman who was ordered by a Luzerne County judge to...
  18. Call scheduling

    Yes. Supposedly, there were only two hosp in this area that were paying premium pay and since we are in the same network, we have both done away with it. Of course, the other hosp in this area don't...
  19. Nclex

    Don't sweat it. Only 3 people out of my class of 24 had more than 75 questions. I'm sure you did
  20. pay scale for ohio

    Not required to take statistics for my ADN program, but will need it for a BSN completion. Pay scales for area hosp. in the Dayton area were $18.38 for new grads, but it has gone up to $19.00 now....
  21. Call scheduling

    Okay, I know this has been covered before, but we need solutions. The call schedule has been causing much discord between the shifts, and morale is pretty low at this point. I work nights, 12 hour...
  22. IVs and babes rooming with mom

    Seems like if a baby is sick enough to need gent, he should probably be in SCN. At least for the dose. Generally, I am all for rooming in, but I think if it is only a 30 min infusion, baby would be...
  23. Should I worry?

    Were these 3 active pts? That doesn't sound safe to me. What if your other nurses were tied up in the NSY or PP? How many pts do you normally have in L&D, just 1? I don't see how it would be safe...
  24. What is your policy for scheduling inductions?

    This is similar to our unit. We staff 4 L&D nurses for 7 LDRs, plus triage and RR. And 2-4 MB nurses for 9 MB couplets and/or GYNs. We try to limit scheduled cases to 3 per AM. But we have had to...
  25. MVU's?

    We don't use them here. Our P&P for induction, gives a range for us to go by. UC q 2-3 min, 60-90 sec, and/or 40-60 mm HCG. This is based on the peak of contraction minus the baseline. But we...